Geriatric Pharmacotherapy

A change is coming. By 2050, the world's 65-and-older population will double, and the 85 and older population will mushroom fivefold. As the number of older adults surge, so too will the number of medication management challenges pharmacists and other health care providers experience. For the geriatric population, complex cases are often the norm, and providing safe and effective care can mean considering assessments of function and cognition, contacting multiple prescribers, and understanding a patient's history, beliefs, and care giving situation before making therapeutic decisions. Fundamentals of Geriatric Pharmacotherapy: An Evidence-Based Approach gives practitioners the information they need to improve outcomes and personalize care for elderly patients. Section 1 explores important foundational concepts such as social and behavioral issues, ethical considerations, biomedical principles of aging, geriatric assessment, and polypharmacy. Section 2 covers common disease states in aging adults, providing evidence-based treatment information as well as helpful tips for minimizing common problems and contending with clinical controversies. Particular attention is given to how treatment can differ along the spectrum of active elderly to frail elderly patients. Useful features throughout the book guide practitioners in navigating the maze of information required when caring for an older patient. These include: Summarized treatment guidelines Reviews of the evidence-base Special focus on recommendations for frail elderly At least one full case study, or more, in each chapter Clinical Pearls Key Points highlight important information in each chapter Key terms and definitions The demands of an aging population mean a greater understanding of geriatric pharmacotherapy will soon be essential for all health care providers. Fundamentals of Geriatric Pharmacotherapy ensures that you'll have the information needed to respond appropriately.

Geriatric Pharmacotherapy: A Guide for the Helping Professional provides practical guidelines to help physicians, pharmacists, nurses, physician assistants, and other clinicians manage drug therapy in the elderly. the text hinges on the realization that geriatric care is an individualized art and all members of the health care team have drug therapy responsibilities.

Drug-related problems in the elderly is intended to serve as a source of information and clinical support in geriatric pharmacotherapy for students as well as all health care professionals, e.g. physicians, nurses and pharmacists. Pharmacotherapy is of great importance to all mankind. Drugs are however powerful and must be handled appropriately. This is especially important for elderly patients. Drug-related problem is not a major subject in most university programmes in medicine or pharmacy. When there is no speci c course, there is often no book covering the topic. In our view, as teachers at various university courses, there has been a shortage of literature that re ects the most important aspects of drug-related problems in the elderly. Medical practitioners, nurses and pharmacists, need to have this knowledge to be able to serve their patients in the best way. This book covers most aspects of drug-related problems in the elderly. With b- ter knowledge of drug-related dif culties and risks we hope that elderly will have fewer drug-related problems and bene t more from their pharmacotherapy.

Provides coverage of the issues surrounding geriatric critical care, emphasising assessment and treatment.

Thirteen million Americans and at least half of the 1.5 million nursing home residents in the U.S. experience urinary incontinence (UI), yet many people go without treatment because they feel embarrassed or don't realize that UI is highly responsive to treatment. Urinary Incontinence in the Elderly discusses how to educate health care providers and the public about UI and how physicians, directors of nursing, and other health care providers can begin and maintain a comprehensive, science-based approach to diagnosing and treating UI. In no time at all, you will be able to implement effective treatment plans that are consistent with your patients'conditions, goals, and wishes. In addition to its practical techniques and steps for managing acute and chronic UI, Urinary Incontinence in the Elderly contains tables and charts that will help you diagnose the patient's condition, identify the causes for UI, and select appropriate treatment methods. The book also gives you a list of helpful questions to assist you in the identification and assessment of UI and sample bladder records so that you or your patient can keep track of voluntary and involuntary urine voidings. To further increase your understanding of UI and its management, this helpful guidebook discusses: teaching women about gestational and postpartum pelvic muscle exercises proper bladder-emptying techniques behavioral, pharmacologic, and surgical treatment of UI risk factors associated with UI, such as low fluid intake, high-impact physical activities, diabetes, and estrogen depletion stress incontinence how your body makes, stores, and releases urine ensuring proper care of long-term residents Urinary Incontinence in the Elderly will help consumers and caregivers treat and manage UI, but it will also enable them to work together to target and alleviate specific risk factors before UI even sets in. Don't let UI go untreated--with dedicated teamwork and this book's advice and suggestions, you can overcome it, or at least manage it, with surprising levels of success.

Underscores the complexity of prescribing drugs for older adults while providing state-of-the-art guidelines for safe patient care An evidence-based, quick-access reference for adult gerontology nurse practitioners and related healthcare providers, this text describes a holistic, patient-centered approach to prescribing drugs to older adults. Comprehensive yet concise writing distills timely guidance on the complexities of safely prescribing to this unique population. This book opens with physiologic changes and assessment considerations for older adults, followed by a discussion of pharmacokinetics and pharmacodynamics, then a final section on guidelines for drug selection, drug interactions, and multimorbidities. Each chapter presents information in a consistent, easy-to-read template. Patient Care Pearls alert readers to crucial information and relevant case studies with examples of inappropriate medical prescribing provide context for drug delivery. Key points and chapter summaries help reinforce information. Additional features include the provision of guidelines for psychotropic medications in LTC facilities, special considerations for frail older adults, and the role of pharmacists as a resource for other practitioners. Key Features: Decision-making guidance on prescribing practices in varied settings Discusses in depth physiological considerations including multimorbidity and polypharmacy Presents Beer’s Criteria and its implications Guidelines for psychotropic medications in LTC facilities Special considerations for frail older adults Patient Care Pearls, case studies, key points, and chapter summaries

This book reviews the pharmacokinetic and pharmacodynamic changes of the elderly along with the potential adverse drug reactions to consider, providing guidelines on how these factors affect therapeutic decision making.

In an ageing population, geriatric medicine has become central to general practice, and to emergency and general internal medicine in the hospital setting. Diseases are more common in the older person, and can be particularly difficult to assess and to treat effectively in a field that has limited evidence, yet makes up a substantial proportion of the work of most clinicians. Fully updated, this second edition of the Oxford Handbook of Geriatric Medicine includes all the information required to deliver effective geriatric care. Guidance is given on a range of key treatment areas, indicating where practice differs from that of younger adults or is ill informed by evidence, where dangers lurk for the inexperienced clinician, and on the many ethical and clinical dilemmas common in geriatric practice. This accessible handbook is essential reading for all junior doctors and specialist trainees in geriatric medicine and general internal medicine, and for all medical and nursing staff who manage older people.